Random pinout catheter

ABSTRACT

A catheter is disclosed comprising: a connector including a plurality of first contacts and one or more second contacts; a shaft including a plurality of electrodes, each electrode being coupled to a different one of the plurality of first contacts; a memory coupled to at least one of the second contacts, wherein the memory is configured to: store a pinout map identifying an order in which the plurality of electrodes is coupled to the plurality of first contacts; and provide the pinout map to an external device via one or more of the second contacts after the connector is coupled to the external device.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No.17/204,504, filed Mar. 17, 2021, entitled RANDOM PINOUT CATHETER, whichis a continuation of U.S. patent application Ser. No. 15/722,846, filedOct. 2, 2017, entitled RANDOM PINOUT CATHETER, the contents of each ofthese aforementioned applications are hereby incorporated by referenceas if fully set forth herein. This application is related to co-pendingU.S. patent application Ser. No. 17/204,514, filed Mar. 17, 2021,entitled RANDOM PINOUT CATHETER.

SUMMARY

The present disclosure relates to medical devices in general, and moreparticularly, to a random pinout catheter.

Cardiac catheterization is a medical procedure used to diagnose andtreat various cardiovascular conditions. During cardiac catheterization,a catheter is inserted into a patient's heart through the patient'sveins or arteries. The catheter may be a thin tube having electrodes onone end and a handle and a connector on the other. The electrodes may beconnected to different pins in the connector via a set of wires thatextend along the tube. The connector may be plugged into a diagnosticdevice which processes signals received from the electrodes to provideuseful diagnostic information to doctors and other medicalprofessionals.

When a catheter is manufactured, connecting the wires to the connectorcan be very labor intensive. The wires can be so thin (e.g., 80 microns)that they cannot be color-coded in a way that makes it possible forfactory workers to distinguish the wires from one another. This requiresfactory workers to use a continuity tool (e.g., a multimeter) toidentify the electrode connected to each wire in order to determine theconnector pin which the wire belongs to. Doing so adds approximately 1hour to the manufacturing process, thereby resulting in an increasedmanufacturing cost.

Accordingly the need exists for new manufacturing techniques andcatheter designs that simplify the manner in which catheter connectorsare connected to the electrode wires.

The present disclosure addresses this need. According to aspects of thedisclosure, a catheter is disclosed comprising: a connector including aplurality of first contacts and one or more second contacts; a shaftincluding a plurality of electrodes, each electrode being coupled to adifferent one of the plurality of first contacts; a memory coupled to atleast one of the second contacts, wherein the memory is configured to:store a pinout map identifying an order in which the plurality ofelectrodes is coupled to the plurality of first contacts; and providethe pinout map to an external device via one or more of the secondcontacts after the connector is coupled to the external device.

According to aspects of the disclosure, a catheter is disclosedcomprising: a switch including a plurality of input channels and aplurality of output channels; a connector including a plurality ofcontacts, each of the contacts being coupled to a different one of theoutput channels of the switch; a shaft including a plurality ofelectrodes, each electrode being coupled to a different one of theplurality of input channels of the switch; a memory configured to storea first pinout map identifying a first order in which the plurality ofelectrodes is coupled to the plurality of input channels of the switch;and a processor coupled to the memory and the switch, the processorbeing configured to transition the switch from a first state to a secondstate based on the first pinout map, the second state being one in whichthe switch is arranged to couple the plurality electrodes to theplurality of contacts in a second order that is compatible with at leastone external device.

According to aspects of the disclosure, a method for configuring acatheter is disclosed, comprising: inserting a shaft of the catheter ina deployment location, the shaft including a plurality of electrodesdisposed in a linear order on the shaft; detecting a plurality of signalchanges that occur during the insertion of the catheter in thedeployment location, each signal change being a change in a value of adifferent signal that is received at a respective one of a plurality ofchannels from one of the electrodes; and generating a pinout mapassociating each of the electrodes with a different one of the pluralityof channels based on a temporal order in which the signal changes aredetected.

BRIEF DESCRIPTION OF THE DRAWINGS

The drawings described below are for illustration purposes only. Thedrawings are not intended to limit the scope of the present disclosure.Like reference characters shown in the figures designate the same partsin the various embodiments.

FIG. 1 is a diagram of an example of a system including a catheter,according to aspects of the disclosure;

FIG. 2 is a diagram of an example of a system including a catheter,according to aspects of the disclosure;

FIG. 3 is a diagram of an example of a catheter assembly, according toaspects of the disclosure;

FIG. 4 is a diagram of an example of a connector, according to aspectsof the disclosure;

FIG. 5 is a diagram of an example of a catheter including the catheterassembly of FIG. 3 and the connector of FIG. 4 , according to aspects ofthe disclosure;

FIG. 6 is a diagram illustrating an example of a process for programmingthe catheter of FIG. 5 by using a configuration device, according toaspects of the disclosure;

FIG. 7 is a diagram of an example of a pinout map that is generated as aresult of executing the process of FIG. 6 , according to aspects of thedisclosure;

FIG. 8 is a diagram of an example of a configuration device, accordingto aspects of the disclosure;

FIG. 9 is a diagram of an example of a shaft receptacle that can beintegrated into the configuration device of FIG. 8 , according toaspects of the disclosure;

FIG. 10 is a flowchart of an example of a process for using the shaftreceptacle of FIG. 9 to configure the catheter of FIG. 5 , according toaspects of the disclosure;

FIG. 11 is a diagram of an example of a shaft receptacle that can beintegrated into the configuration device of FIG. 8 , according toaspects of the disclosure;

FIG. 12 is a flowchart of an example of a process for using the shaftreceptacle of FIG. 11 to configure the catheter of FIG. 5 , according toaspects of the disclosure;

FIG. 13A is a diagram of an example of a system, according to aspects ofthe disclosure;

FIG. 13B is a diagram of an example of a plurality of data structuresused by the system of FIG. 13A, according to aspects of the disclosure;

FIG. 13C is a diagram of an example of a data structure used by thesystem of FIG. 13A, according to aspects of the disclosure;

FIG. 14 is a flowchart of an example of a process performed by one ormore devices in the system of FIG. 13A, according to aspects of thedisclosure;

FIG. 15A is a diagram of an example of a system, according to aspects ofthe disclosure;

FIG. 15B is a diagram of an example of a plurality of data structuresused by the system of FIG. 15A, according to aspects of the disclosure;

FIG. 15C is a diagram of an example of a data structure used by thesystem of FIG. 15A, according to aspects of the disclosure;

FIG. 16 is a flowchart of an example of a process performed by one ormore devices in the system of FIG. 15A, according to aspects of thedisclosure;

FIG. 17 is a diagram illustrating an example of a process forconfiguring a catheter, according to aspects of the disclosure;

FIG. 18 is a flowchart of an example of a process for configuring acatheter, according to aspects of the disclosure; and

FIG. 19 is a flowchart of another example of a process for configuring acatheter, according to aspects of the disclosure.

DETAILED DESCRIPTION

A diagnostic catheter may include a shaft having multiple electrodesdisposed on one end of the shaft. The electrodes may be connected towires that extend along the shaft and come out of the other end of theshaft to be coupled to a connector. When a diagnostic catheter ismanufactured, plant workers need to determine which wire belongs towhich electrode, so that they can solder the wires to the correctcontacts of the connector. However, this may be a time consumingprocess. For example, wiring a catheter that includes 22 electrodes mayadd 1 hour to the time it takes to manufacture the catheter. This timeis largely spent by workers to trace the specific wire each electrode isconnected to and solder that wire to a connector that has beendesignated for that electrode.

According to aspects of the disclosure, an improved catheter isdisclosed that can be manufactured in a shorter time than catheters inthe prior art. In the improved catheter, different electrodes areconnected at random to the contacts of a connector (or anothercomponent), while a pinout map indicating the order in which theelectrodes are connected is stored in a memory device integrated intothe catheter. Connecting the electrodes at random may reduce the time ittakes to manufacture the catheter by 30 minutes resulting in anincreased manufacturing yield. The reduction in time is largely due toworkers not having to identify the specific wire each electrode isconnected to before coupling that wire to a given connector contact (oranother component).

According to aspects of the disclosure, an improved catheter isdisclosed that includes a memory device (e.g., an EEPROM) integratedtherewith and a shaft whose electrodes are connected at random todifferent contacts of the catheter's connector. Because the electrodesare connected at random to the connector contacts, the catheter cannotbe used without a pinout map that is stored in the memory device toidentify the contact each electrode is connected to. Accordingly, whenthe catheter is connected to an external device, the pinout map isretrieved by the external device and used to interpret the signalsreceived from different electrodes of the catheter.

According to another aspect of the disclosure, a configuration device isdisclosed for generating the pinout map of the improved catheter. Theconfiguration device may be used during the manufacturing of theimproved catheter and it may include a first receptacle and a secondreceptacle. The first receptacle may be arranged to receive the shaft ofthe improved catheter on which electrodes are mounted. The secondreceptacle may be arranged to receive the connector of the catheter.When the shaft of the catheter is inserted into the first receptacle andthe connector of the catheter is inserted into the second receptacle,the configuration device determines the connector contact each electrodeis connected to, generates a pinout map identifying the connectorcontact each electrode is connected to, and stores the pinout map in thememory device that is integrated into the catheter.

According to aspects of the disclosure, an interface adapter isdisclosed for use with the improved catheter. The interface adapter isdesigned to be interposed between the improved catheter and a diagnosticdevice. In operation, the interface adapter may switch the signalsreceived from the electrodes of the catheter to an order that issupported by the diagnostic device, and feed the switched signals to thediagnostic device. The switching may be performed based on the pinoutmap that is stored in the improved catheter. The interface device maypermit the improved catheter to be used with legacy diagnostic deviceswhich lack the capability to retrieve and interpret the pinout map ofthe catheter on their own.

According to aspects of the disclosure, a method is disclosed fordynamically associating signals received from the improved catheter withspecific electrodes in the catheter while the catheter is being insertedinto a patient's body. The method may be performed when the electrodesof the improved catheter are connected at random to the catheter'sconnector, so and it is unknown which signal is received from whichelectrode. An advantage of this method is that it does not require amemory device or other extra hardware to be integrated into the catheterin order for the catheter to be usable.

More particularly, according to the method, when a catheter is insertedinto patient's body it may be contained in a sheath. The sheath may be aplastic tube of larger diameter than the catheter which is used to limitpain and increase accuracy. The catheter may stay in the sheath untilthe location is reached where the catheter needs to be deployed (e.g.,the patient's heart). At this point, the end of the catheter whichcontains electrodes may be slid out of the sheath to enter the location.Because the electrodes are arranged in a line on the end of thecatheter, they leave the sheath one after another. When each electrodeleaves the sheath, the signal generated by the electrode changes as aresult of the electrode coming in contact with the patient's tissues. Bymonitoring the order in which signal changes occur, the electrode whichis the source of each signal may be identified. For example, the signalthat changes first may be associated with the first electrode on thecatheter (counting from the tip), while the signal that changes thirdmay be associated with the third electrode on the catheter (countingfrom the tip).

Examples of various catheters and catheter systems will be describedmore fully hereinafter with reference to the accompanying drawings.These examples are not mutually exclusive, and features found in oneexample can be combined with features found in one or more otherexamples to achieve additional implementations. Accordingly, it will beunderstood that the examples shown in the accompanying drawings areprovided for illustrative purposes only and they are not intended tolimit the disclosure in any way. Like numbers refer to like elementsthroughout.

It will be understood that, although the terms first, second, etc. maybe used herein to describe various elements, these elements should notbe limited by these terms. These terms are only used to distinguish oneelement from another. For example, a first element could be termed asecond element, and, similarly, a second element could be termed a firstelement, without departing from the scope of the present invention. Asused herein, the term “and/or” includes any and all combinations of oneor more of the associated listed items.

It will be understood that when an element such as a layer, region orsubstrate is referred to as being “on” or extending “onto” anotherelement, it can be directly on or extend directly onto the other elementor intervening elements may also be present. In contrast, when anelement is referred to as being “directly on” or extending “directlyonto” another element, there are no intervening elements present. Itwill also be understood that when an element is referred to as being“connected” or “coupled” to another element, it can be directlyconnected or coupled to the other element or intervening elements may bepresent. In contrast, when an element is referred to as being “directlyconnected” or “directly coupled” to another element, there are nointervening elements present. It will be understood that these terms areintended to encompass different orientations of the element in additionto any orientation depicted in the figures.

Relative terms such as “below” or “above” or “upper” or “lower” or“horizontal” or “vertical” may be used herein to describe a relationshipof one element, layer or region to another element, layer or region asillustrated in the figures. It will be understood that these terms areintended to encompass different orientations of the device in additionto the orientation depicted in the figures.

FIG. 1 is a diagram of an example of a system 100, according to aspectsof the disclosure. The system includes a diagnostic device 110 and acatheter 120 that is arranged to connect to the diagnostic device via aconnector 122. The diagnostic device 110 may be an ECG monitor and/orany other suitable device that is arranged to receive and interpretsignals from the catheter 120. The catheter 120 may be any suitable typeof catheter, such as a cardiac catheter for example. The catheter 120may include a handle 124 and a shaft 126 having a plurality ofelectrodes in it. In operation, the handle 124 may be used to thread theshaft 126 through an artery or vein of a patient to a destination whichis desired to be examined with the catheter, such as a heart chamber.When the destination is reached, each of the electrodes in the cathetermay provide a different signal to the electronic device which is thenused to diagnose the patient. The signals may be delivered to thediagnostic device via the connector 122.

In order for the diagnostic device 110 and the catheter 120 tointeroperate, they must both comply with the same interface standard. Asused throughout the disclosure, the term “interface standard” is definedas a specification of a mapping between different electrodes on thecatheter and different contacts (e.g., pins) on the connector. Putdifferently, the connector standard may specify the order in whichdifferent electrodes are connected to different contacts of a connectioninterface (e.g., a connector, a receptacle arranged to receive aconnector, etc.) For example, an interface standard for a three-pinconnector may specify that pin[1] carries a signal generated byelectrode[1], pin [2] carries a signal generated by electrode[2], andpin[3] carries a signal generated by electrode[3]. As can readily beappreciated, compliance with the same interface standard is essentialfor successful interoperability between the diagnostic device 110 andthe catheter 120. In the example of FIG. 1 , the catheter 120 complieswith an interface standard supported by the diagnostic device 110, whichpermits the catheter 120 to be plugged directly into the receptacle 115of the diagnostic device 110.

FIG. 2 is a diagram of an example of a system 200, according to aspectsof the disclosure. The system 200 includes a diagnostic device 210 and acatheter 220. The catheter 220 includes a connector 222, a handle 224,and a shaft 226. The catheter 220, in this example, does not comply withany interface standard supported by the diagnostic device 210.Accordingly, the catheter 220 cannot be plugged directly into thereceptacle 215 of the diagnostic device and requires the use of aninterface adapter 230.

The interface adapter 230 includes an input interface 232 and an outputinterface 234. The input interface 232 is arranged to receive theconnector 222 of the catheter 220 and the output interface 234 isarranged to be plugged into the receptacle 215 of the diagnostic device210. When the diagnostic device 210, the catheter 220, and the interfaceadapter 230 are connected in this way, the interface adapter 230 adaptsthe signals received from the catheter 220 to the interface standardsupported by the diagnostic device 210 to make the catheter 220 and thediagnostic device 210 mutually compatible.

FIG. 3 is a diagram of an assembly 300 including a catheter shaft 310and a catheter handle 320, according to aspects of the disclosure.Electrodes 312 are arranged in sequence near the distal end D of theshaft 310, as shown. Each of the electrodes 312 is connected to adifferent electrode wire 322 that extends through the shaft and exitsthe assembly 300 through the proximal end P of the handle. Although notshown, built in the handle may be a memory device for storing a pinoutmap. In addition, in some implementations, built in the handle may be acontroller, a switch, and/or any other suitable electronic component.

FIG. 4 is a diagram of an example of a connector 400 that is designed tobe connected to the assembly 300. The connector 400 includes a pluralityof first contacts 410 and one or more second contacts 420. Each of thefirst contacts 410 may be connected to a different electrode wire 322while any of the second contacts may be connected to at least one of amemory device that is built in the handle 320. Additionally oralternatively, in some implementations, one or more of the secondcontacts may be connected to a controller that is built-in the catheter,a communications interface (e.g., a serial interface) that is built inthe handle 320, etc.

When the connector 400 is coupled to the assembly 300 to produce afinished catheter, the electrode wires 322 need to be soldered to thefirst contacts 410 of the connector 400. However, finding which wirecomes from which pin, in order to solder it to the correct contact, maybe a time consuming process. The electrode wires 322 may be very thin(e.g., 80 microns or 40-AWG) which makes it difficult to color code themin a way that makes it possible for plant workers to distinguish thewires from one another. This necessitates plant works to use acontinuity tool to identify the electrode 312 each wire is connected toin order to determine the correct first contact 410 for the wire. Insome instances, connecting the electrode wires 322 to the first contacts410 may take close to an hour, thereby resulting in increasedmanufacturing costs.

FIG. 5 is a diagram of an example of a catheter 500 that is produced inaccordance with an improved process for manufacturing catheters.According to the process, each of the electrode wires 322 is connectedto a different contact 410 at random to form the catheter 500.Afterwards, the catheter 500 is programmed using a configuration device600 (shown in FIG. 6 ) to store a pinout map that identifies therespective electrode 312 that is connected to each contact 410. Thepinout map may be stored by the configuration device 600 into a memorydevice disposed in the handle 320 of the catheter 500 and subsequentlyused when the catheter 500 is connected to a particular diagnosticdevice. Notably, when a batch of catheters is manufactured using thisprocess, the order in which the catheter electrodes are connected to thecontacts of the catheter connector may vary across the batch. In thisregard, the pinout map compensates for this variation and ensures normaloperation of the catheters in the batch.

In some aspects, connecting the electrodes at random to the contacts 410of the connector 400 (or another element) may have several structuralimplications with respect to the catheter 500. First, connecting theelectrodes at random may result in them being connected in anon-standard order to the connector 400 (or another element). Forexample, a non-standard-order may be an order that does not comply withany particular interface standard that might be supported by adiagnostic device intended to utilize the catheter. As another example,a non-standard order may be an order that does not comply with anyparticular industry-wide and/or manufacturer-specific interfacestandard. As noted above, any interface standard specifies the order inwhich the signals from specific electrodes need to be placed on theinput channels of a diagnostic device. Unless the signals are put inthat order, the device may not know the identity of this signal and beable to operate correctly. Thus, a catheter whose electrodes areconnected at random to the contacts of its connector (and/or to anothercomponent, such as a switch) may be unable to function properly unlessthe catheter is provided with additional features. Second, connectingthe electrodes at random may require the provision of a memory device onthe catheter that stores a pinout map for the catheter. As noted above,the pinout map may identify the contact each electrode is connected to,thus permitting the catheter to be used in conjunction with standardmedical equipment.

FIG. 6 is a diagram illustrating a process for programming the catheter500 by using a configuration device 600. In accordance with the process,the distal end D of the shaft 310 is inserted into a receptacle 610whereas the connector 400 is inserted into a receptacle 620. Afterwards,the configuration device performs a sequence of tests on the catheter todetermine the connectivity between the electrodes 312 and the contacts410. When the sequence of tests is completed, the light emitting diode(LED) 630 is turned green to inform the plant worker operating theconfiguration device 600 that the sequence of tests is completed.Afterwards, when the button 640 is pressed, a pinout map is generatedand stored in a memory device that is integrated in the catheter 500(e.g., in the handle of the catheter, etc.)

FIG. 7 is a diagram of an example of a pinout map 700 that is generatedby the configuration device 600. As illustrated, the pinout map 700includes a plurality of mappings 710. Each mapping 710 is associatedwith a different one of the electrodes 312. Furthermore, each mapping710 identifies a contact 410 on the connector 400 that is connected tothat mapping's respective electrode. Although in the present example,the pinout map 700 is represented in a tabular format, it will beunderstood the pinout map 700 may be any suitable type of data structurecapable of identifying the respective contact 410 that is connected toeach one of the electrodes 312. Furthermore, although in the example ofFIG. 7 , each mapping 710 is represented as a table row, it will beunderstood that any of the mappings 710 may include a number, a letter,a special character, an alphanumerical string, and/or any other suitabletype of data structure that is capable of identifying an electrode and acontact to which the electrode is connected.

FIG. 8 is a schematic diagram of a configuration device 800 that can beused to program the catheter 500. The configuration device 800 may bethe same or similar to the configuration device 600. The configurationdevice 800 may include a processor 810, a shaft receptacle 820, aconnector receptacle 830, an input device 840, and an output device 850.The processor 810 may include any suitable type of processing circuitry,such as one or more of a general purpose processor (e.g., an ARM-basedprocessor), an application-specific integrated circuit (ASIC), afield-programmable gate array (FPGA), a complex programmable logicdevice (CPLD), or a microcontroller, for example. The shaft receptacle820 may be any suitable type of receptacle that is arranged to receivethe distal end D of the catheter shaft 310. The connector receptacle 830may be any suitable type of connector that is arranged to be coupled tothe connector 400. The input device 840 may include one or more of abutton, a microphone, a keyboard, a touch screen, and/or any othersuitable type of input device. The output device 850 may include one ormore of a display, a speaker, a printer and/or any other suitable typeof output device.

FIG. 9 is a schematic diagram illustrating an example of the shaftreceptacle 900, according to aspects of the disclosure. In accordancewith this example, the shaft receptacle 900 includes a contact comb 910having a plurality of spring-loaded contacts 912. The spring-loadedcontacts 912 are arranged to come in contact with the electrodes 312when the shaft 310 is inserted into the shaft receptacle 900, as shown.A switch 920 is configured to route a voltage signal V to one of thecontacts 912 that is selected by the processor 810 via the controlsignal CTRL, which is at least in part generated by the processor 810.For example, when a first control signal is supplied to the switch 920by the processor 810, the switch 920 may route the signal V to a firstcontact 912. As another example, when a second signal is supplied toswitch 920 by the processor 810, the switch 920 may route the signal Vto a second contact 912. As yet another example, when a third signal issupplied to switch 920 by the processor 810, the switch 920 may routethe signal V to a third contact 912. In this regard, by using the switch920, the processor 810 may apply a signal to each of the electrodes 312,one-by-one, to identify the electrode wire 322 that is connected to thatelectrode.

FIG. 10 is a flowchart of an example of a process 1000 for generating apinout map for the catheter 500 by using the shaft receptacle 900. Theprocess may be performed by any suitable configuration device, such asone of the configuration devices 600 and 800, in which the shaftreceptacle 900 is deployed.

At step 1005, the catheter 500 is connected to a configuration device byinserting the shaft 310 into the shaft receptacle 900 and plugging theconnector 400 of the catheter 500 in a connector receptacle that ispresent in the configuration device.

At step 1010, an electrode 312 of the catheter 500 that has not been yettested is selected. At step 1015, a test signal is applied to theuntested electrode. The signal may be any suitable type of signal, suchas a voltage signal or a current signal for example.

At step 1020 an error check is performed to determine if the wire 322that is connected to the selected electrode is either severed and/orshorted with another wire. Performing the error check may includedetecting whether the test signal is output on more than one of thecontacts 410 of the connector 400. Additionally or alternatively,performing the error check may include detecting whether the appliedsignal is not output on any of the contacts 410.

At step 1025, in response to an error being detected, an indication ofthe error is output via an output device. For example, in instances inwhich the output device is an LED, the output device may emit red light.However, alternative implementations are possible in which outputtingthe error message includes outputting a sound, outputting a textmessage, outputting an image, etc. If no error is detected, the processproceeds to step 1030.

At step 1030, a respective contact 410 is identified that is connectedto the selected electrode 312 via one of the wires 322. The respectivecontact 410 may be identified based on detecting that the test signal isoutput on the respective contact. For example, in instances in which thetest signal is a voltage signal, the contact 410 may be selected bydetermining the voltage at each of the contacts 410 while the testsignal is being applied to the selected electrode and identifying thecontact 410 whose voltage is substantially the same to (or within apredetermined distance from) the voltage applied to the selectedelectrode.

At step 1035, a mapping 710 is generated that associates the selectedelectrode to the contact 410 it is connected to. As noted above, themapping may include any suitable type of number, alphanumerical string,data primitive, and/or data structure indicating that the selectedelectrode is connected to the contact identified at step 1025.

At step 1040, a determination is made if there are any remainingelectrodes 312 in the catheter 500 that have not yet been tested. Ifthere are, steps 1010-1035 are repeated for each of the remainingelectrodes. Otherwise, the process proceeds to 1045.

At step 1045, a pinout map is generated that includes each of themappings generated during one or more prior iterations of steps1010-1035. In some implementations, generating the pinout map mayinclude encapsulating each mapping that is generated at step 1035 in thesame data structure.

At step 1050, the generated pinout map is stored in a memory device thatis integrated into the catheter 500.

Although in the present example, each electrode 312 is testedindividually to determine the contact 410 which the electrode isconnected to, alternative implementations are possible in which theprocess is reversed. In such instances, a signal may be applied to eachof the contacts 410, one-by-one, to determine the respective electrodeon which the signal is output. Similarly, an error check may beperformed each time the signal is applied to a given contact todetermine whether the contact is connected to more than one electrode312 (due to a short) or not connected to any electrode 312 (due to asevered wire). Performing the error check may include at least one ofdetermining whether the applied signal appears on multiple electrodes312, or whether the applied signal does not appear on any of theelectrodes 312.

FIG. 11 is a schematic diagram illustrating an example of a shaftreceptacle 1100, according to aspects of the disclosure. In thisexample, the contact comb 910 is replaced with a resistive structure1110, as shown. In some implementations, the resistive structure 1110may be a long resistor made of a material such as Graphite, Polyaniline,or PEDOT. When the shaft 310 is inserted into the shaft receptacle 820,each electrode 312 may come in contact with the resistive structure 1110at a different location. As a result, the voltage applied to eachelectrode 312 may be proportional to the distance between the electrodeand the end the end of the resistive structure 1110 at which the voltageis applied. Specifically, the highest voltage may be applied to theelectrode 312 that is the closest to the end while the lowest voltagemay be applied to the electrode that is the furthest away from the end.Although in the present example the resistive structure 1110 includes asingle resistor, alternative implementations are possible in whichmultiple resistors are used. For instance, in some implementations, theresistive structure may be a series of resistors, such that when theshaft 310 is inserted into the receptacle 1100, each electrode 312 iscoupled to a different junction between two neighboring resistors in theseries via a receptacle contact that is installed at the junction.

FIG. 12 is a flowchart of an example a process 1200 for generating apinout map for the catheter 500 by using the shaft receptacle 1100,according to aspects of the disclosure. The process 1200 may beperformed by a configuration device, such as one of the configurationdevices 600 and 800, in which the shaft receptacle 1100 is deployed.

At step 1210, the catheter 500 is connected to a configuration device byinserting the shaft 310 into the shaft receptacle 1100 and plugging theconnector 400 of the catheter 500 in a connector receptacle that ispresent in the configuration device.

At step 1220, an indication is obtained of an order in which theelectrodes 312 are arranged on the shaft 310 of the catheter 500. Insome implementations, obtaining the indication may include retrievingthe indication from a memory of the configuration device. Additionallyor alternatively, obtaining the indication may include retrieving theindication from the catheter 500 or another device.

In some implementations, the indication may include a set ofidentifiers. As illustrated in FIG. 11 , each identifier may include adifferent number. Furthermore, as illustrated in FIG. 11 , eachidentifier may correspond to a different electrode. All electrodeshaving identifiers that are smaller than the identifier of a givenelectrode may be located closer to the distal end of the shaft 310 thanthe given electrode. Similarly, all electrodes having identifiers thatare larger than the given electrode may be located further away from thedistal end D of the shaft 310 than the given electrode. Statedsuccinctly, in some implementations, the location of a given electrode312 on the shaft 310 may be specified implicitly or explicitly in theidentifier used to reference the electrode.

Additionally or alternatively, in some implementations, the indicationmay include an ordered list of electrode identifiers. Each identifier inthe list may correspond to a different electrode. The position of eachidentifier in the list may correspond to the position of theidentifier's electrode 312 on the shaft 310. For instance, the closer agiven electrode 312 is to the distal end D of the shaft 310, the closerthe electrode's identifier may be to the beginning of the list.

At step 1230, a voltage is applied to the resistive structure 1110 thatis part of the shaft receptacle 1100. At step 1240, the respectivesignal output at each of the contacts 410 is detected. Moreparticularly, in some implementations, at steps 1230-1240, a voltage maybe applied to the resistive element 1110, while the voltage at each ofthe contacts 410 is being measured. As can be readily appreciated, steps1230-1240 may be performed to identify the respective contact 410 eachof the electrodes 312 is connected to.

At step 1250, each of the electrodes 312 is associated with a differentcontact 410 based on the indication of the order in which the electrodesare arranged on the shaft 310 and the relative magnitudes of the outputsignals measured at each contact 410. As a result, each electrode 312may be associated with a respective contact 410 which the electrode 312is connected to via one of the wires 322. In some implementations, atstep 1250, for each electrode 312, a different mapping may be generatedthat identifies the respective contact 410 to which the electrode 312 isconnected.

In some implementations, each electrode 312 may be associated with adifferent contact 410. Additionally or alternatively, each electrode 312may be associated with a contact 410 at which a voltage is measured thatis commensurate with the position of that electrode 312 on the shaft310. As a result, each electrode 312 that is the n-th closest to thedistal end D of the shaft 310 may be associated with the contact 410 atwhich the n-th lowest voltage is measured, wherein n is a positiveinteger. Thus, the electrode 312 that is the closest to the distal end Dmay be associated with the electrode at which the lowest voltage ismeasured at step 1240, while the electrode 312 that is the furthest awayfrom the distal end D may be associated with the contact 410 at whichthe highest voltage is measured.

At step 1260, a pinout map is generated that includes the respectivemappings of each (or at least some) of the electrodes 312. At step 1270,the pinout map is stored in a memory device that is integrated into thecatheter 500.

FIG. 13A is a diagram of an example of a system 1300, according toaspects of the disclosure. The system 1300 may be the same or similar tothe system 200 shown in FIG. 2 . More particularly, the system 1300 mayinclude a diagnostic device 1310 that is connected to a catheter 1320via an interface adapter 1330.

The diagnostic device 1310 may include any suitable type of device thatis arranged to receive and/or interpret one or more signals that aregenerated using a diagnostic catheter. The diagnostic device 1310 mayinclude an ECG monitor or a 3D Navigation System that calculates X, Y,or Z coordinates of catheter positions for example. The catheter 1320may be any suitable type of diagnostic catheter, such as the BiosenseWebster NAVISTAR® THERMOCOOL®, Biosense Webster LASSO®, BiosenseDECARAY® catheter etc. The interface adapter 1330 may include aplug-and-play adapter that works effortlessly with the diagnostic device1310 to allow access to different electrodes (and other features) of thecatheter 1320 by changing the order in which signals received from thecatheter are provided on different input channels of the diagnosticdevice 1310

In some implementations, the catheter 1320 may be the same or similar tothe catheter 500, shown in FIG. 5 . The catheter 1320 may include aconnector 1322, a plurality of electrodes 1324, and a memory 1326. Theconnector 1322 may include a plurality of contacts. Each contact may becoupled at random to a different one of the plurality of electrodes 1324via a different wire (not shown). The memory 1326 may include anysuitable type of non-volatile memory, such as an EEPROM, a flash drive,or a solid-state drive, for example. The memory 1335 may be disposedinside the handle of the catheter 1320 (not shown) or in any otherportion of the catheter 1320. Stored in the memory 1335 may be a pinoutmap 1328 which identifies the respective electrode each contact isconnected to.

In some implementations, the pinout map 1328 may be the same or similarto the pinout map 700 shown in FIG. 7 . In some implementations, thepinout map 1328 may be retrievable from the memory 1326 (by thediagnostic device 1310) via the connector 1322. In such instances, thesame interface (e.g., the connector 1322) may be used to provide thepinout map 1328 to the diagnostic device, as well as feed to thediagnostic device 1310 signals from the electrodes 1324. Additionally oralternatively, in some implementations, the pinout map 1328 may beretrievable from the memory 1326 via an interface that is separate fromthe connector 1322. Additionally or alternatively, in someimplementations, the pinout map 1328 may be generated in the mannerdiscussed with respect to any of FIGS. 8-12 .

The interface adapter 1330 may include a switch 1331, an input interface1332, an output interface 1333, a processor 1334, and a memory 1335. Theprocessor 1334 may be operatively coupled to any of the switch 1331, theinput interface 1332, the output interface 1333, and the memory 1335.

The switch 1331 may be an electronic component and/or circuit that iscapable of opening and closing each of a plurality of electrical paths.In the present example, the switch 1331 includes a plurality of inputchannels and a plurality of output channels. Each of the input channelscan be selectively connected to any of the output channels, by theswitch 1331, based one or more control signals that are received by theswitch 1331 from the processor 1334.

The input interface 1332 may be any suitable type of connector orconnector receptacle. In the present example, the input interface 1332may be a connector receptacle that is arranged to mate with theconnector 1322. The input interface 1332 may include a plurality ofcontacts. Each of these contacts may connect to a different one of thecontacts in the connector 1322 when the connector 1322 is inserted intothe input interface 1332. Moreover, each of the contacts in the inputinterface 1332 may be connected to a different input channel of theswitch 1331.

The output interface 1333 may be any suitable type of connector orconnector receptacle. In the present example, the output interface 1333includes a connector that is arranged to mate with a connectorreceptacle on the diagnostic device 1310. The output interface 1333 mayinclude a plurality of contacts. Each of these contacts may connect to adifferent contact of the input interface of the diagnostic device 1310(not shown) when the interface adapter 1330 is connected to thediagnostic device 1310. Moreover, each of the contacts in the outputinterface 1333 may be connected to a different output channel of theswitch 1331.

The processor 1334 may include one or more of a general-purposeprocessor (e.g., an ARM-based processor), an application specificintegrated circuit (ASIC), a Field-Programmable Gate Array (FPGA), acomplex programmable logic device (CPLD) and/or any other circuitry thatis capable of causing the switch to close a plurality of electric pathsbetween different ones of its input channels and respective outputchannels.

The memory 1335 may include any suitable type of volatile and/ornon-volatile storage device. According to aspects of the disclosure, thememory 1335 may include one or more of an EEPROM memory, a random accessmemory (RAM), a flash memory, and a read-only memory, for example.During the operation of the system 1300, the memory 1335 may store oneor more of the pinout map 1328, a pinout map 1336, and a switchconfiguration map 1337. In some implementations, the pinout map 1328 maybe placed in the memory 1335 after it is retrieved from the catheter1320 following the connection of the catheter 1320 to the interfaceadapter 1330, for example.

FIGS. 13B-C are diagrams illustrating examples of the pinout map 1328,the pinout map 1336, and the switch configuration map 1337, according toaspects of the disclosure. In the present example, each of the maps1328, 1336, and 1337 is a table. However, alternative implementationsare possible in which each of the maps 1328, 1336, and 1337 can beimplemented as another type of data structure.

The pinout map 1328 specifies the order in which the electrodes 1324 areconnected to the contacts of the connector 1322. The pinout map 1328includes a plurality of mappings 1328 a. Each mapping 1328 a includes anidentifier of one of the electrodes 1324 and an identifier of arespective contact in the connector 1322 which the electrode isconnected to. In some implementations, the identifier of any of theelectrodes 1324 may include one or more numbers and/or symbols thatindicate, either implicitly or explicitly, the identity of thatelectrode. For instance, the identifier of any of the electrodes mayinclude an indication of a type of signal that is produced by theelectrode, an indication of the type of the electrode, an indication ofthe position of the electrode on the shaft of the catheter 1320, etc. Insome implementations, the identifier of any of the contacts of theconnector 1322 may include one or more numbers and/or symbols thatindicate, either implicitly or explicitly, the identity of a particularcontact. For instance, the identifier of any of the contacts may includean indication of an output channel that is associated with the contact,a pin number, etc. To illustrate how the pinout map 1328 relates to thepinout map 1336 and the switch configuration map 1337, in FIG. 13B,under the identifier of each contact in the connector 1322, inparenthesis, a contact of the input interface 1332 is identified that isconnected to the contact of the connector 1322 when the catheter 1320 iscoupled to the interface device 1330.

The pinout map 1336 specifies an interface standard supported by thediagnostic device 1310. More particularly, the pinout map specifies theorder in which the signals from the electrodes 1324 need to be appliedat different contacts of an input interface (not shown) of thediagnostic device 1310 that is coupled to the output interface 1333 ofthe interface adapter 1330 in order of the diagnostic device 1310 to beable to use the signals for diagnostic purposes. In the present example,the pinout map 1336 includes a plurality of mappings 1336 a. Eachmapping 1336 a includes an identifier of one of the electrodes 1324 andan identifier of a respective contact in the output interface 1333 whichthe electrode needs to be connected to in order for the interfaceadapter 1330 to comply with the interface standard supported by thediagnostic device 1310. To illustrate how the pinout map 1336 relates tothe pinout map 1328 and the switch configuration map 1337, in FIG. 13B,under the identifier of each contact in the in the input interface ofthe diagnostic device 1310, in parenthesis, a contact of the outputinterface 1333 is identified that is connected to the contact of thediagnostic device 1310 when the interface device 1330 is coupled to thediagnostic device 1310.

In some implementations, the identifier of any of the electrodes 1324 ineach mapping 1336 a of the pinout map 1336 may include one or morenumbers and/or symbols that indicate, either implicitly or explicitly,the identity of that electrode. For instance, the identifier of any ofthe electrodes may include an a type of signal that is produced by theelectrode, an indication of the type of the electrode, an indication ofthe position of the electrode on the shaft of the catheter 1320, etc. Insome implementations, the identifier of each of the contacts of thediagnostic device 1310 may include one or more numbers and/or symbolsthat indicate, either implicitly or explicitly, the identity of thatcontact. For instance, the identifier of any of the contacts may includean indication of an input channel of the diagnostic device 1310 that isassociated with the contact, an output channel (e.g., of a catheter orinterface adapter) that is associated with the contact, a contact in theoutput interface 1333 of the interface adapter 1330, a pin numbercorresponding to a first input pin of the diagnostic device 1310, a pinnumber corresponding to a second output pin of the output interface 1333which comes in contact with the first input pin when the interfaceadapter 1330 is connected to the diagnostic device 1310, etc.

The switch configuration map 1337 specifies a state which the switch1331 needs to enter in order for the signals from the electrodes 1324 tobe output on the output interface 1333 in the order specified by thepinout map 1336. More particularly, the switch configuration map 1337specifies a state of the switch 1331 in which the switch is operable toroute the signal from each of the electrodes 1324 to a different contactin the output interface 1333 that is specified (implicitly orexplicitly) for the electrode by the pinout map 1336.

The switch configuration map 1337 includes a plurality of mappings 1337a. Each mapping 1337 a includes an identifier of an input channel of theswitch 1331 and an identifier of an output channel of the switch 1331which the input channel needs to be connected to by the switch 1331. Asdiscussed further below, the switch configuration map 1337 may begenerated by the processor 1334 based on at least one of the pinout map1328 and the pinout map 1336. The processor 1334 may configure theswitch 1331 in accordance with the switch configuration map 1337 inorder to route the signal from each electrode 1324 to the contact in theoutput interface 1333 that is specified (implicitly or explicitly) forthat electrode by the pinout map 1336. More particularly, the processor1334 may generate and provide one or more control signals to the switch1331 based on the switch configuration map 1337, which when received bythe switch 1331 cause the switch to connect its each of its inputchannels with a respective output channel identified by the switchconfiguration map 1337.

FIG. 14 is a flowchart of an example of a process 1400 which isperformed by the interface adapter 1330, according to aspects of thedisclosure.

At step 1410, the processor 1334 detects that the interface adapter 1330is connected to the catheter 1320 via the input interface 1332. At step1420, in response to detecting the connection with the catheter 1320,the processor 1334 retrieves the pinout map 1336 from the memory 1326.The pinout map 1336 may be retrieved using the connector 1322 of thecatheter 1320. However, alternative implementations are possible inwhich the pinout map 1336 is retrieved via a wireless interface oranother wired interface.

At step 1430, the processor 1334 detects that the interface adapter 1330is connected to the diagnostic device via the output interface 1333. Atstep 1440, the interface adapter 1330 retrieves the pinout map 1336 fromthe diagnostic device 1310. Although in the present example the pinoutmap 1336 is retrieved from the diagnostic device 1310, alternativeimplementations are possible in which the pinout map 1336 is pre-storedin the memory 1335.

At step 1450, the processor 1334 generates the switch configuration map1337 based on at least one of the pinout map 1328 and the pinout map1336. In some implementations, the switch configuration map 1337 may begenerated by cross-referencing the pinout map 1328 with the pinout map1336. In some implementations, the cross-referencing may be performed byusing an additional data structure that indicates the order in which theinput contacts of diagnostic device 1310 are connected to the outputchannels of the switch 1331 when the interface adapter 1330 is coupledto the diagnostic device 1310. More particularly, in someimplementations, generating the pinout map may include performing thefollowing tasks for each electrode 1324 in the catheter 1320: (a)identifying a first contact in the connector 1322 which the electrode isconnected to, (b) identifying an input channel of the switch 1331 whichthe first contact is connected to, (c) identifying a second contact inthe output interface 1333 which the electrode needs to be connected to,(d) identifying an output channel of the switch 1331 that is connectedto the second contact in the output interface 1333, (e) creating amapping 1337 a associating the identified input channel of the switch1331 with the identified output channel of the switch 1331, and (f)including the mapping in the switch configuration map 1337.

At step 1460, the processor 1334 configures the switch 1331 inaccordance with the switch configuration map 1337. More particularly,the interface adapter 1330 causes the switch 1331 to connect each outputchannel in the switch 1331 to a different input channel of the switch1331 that is identified by the switch configuration map 1337. In someimplementations, configuring the switch may include performing thefollowing tasks once for each one of the mappings 1337 a in the switchconfiguration map 1337: (a) identifying an input channel that isindicated by the mapping, (b) identifying an output channel that isindicated by the mapping, and (c) transmitting a control signal to theswitch 1331 that causes the switch to connect the identified outputchannel to the identified input channel.

The process 1400 is provided as an example only. Although in the presentexample the switch configuration map is used to reconfigure the switch,alternative implementations are possible in which no switchconfiguration map is generated or used. In such instances, the inputchannels of the switch 1331 may be connected to one-by-one tocorresponding output channels based on at least one of the pinout map1328 and the pinout map 1336.

FIG. 15A is a diagram of an example of a system 1500 according toaspects of the disclosure. The system 1500 may include a diagnosticdevice 1510 and a catheter 1520. The diagnostic device 1510 may includeany suitable type of device that is arranged to receive and/or interpretone or more signals that are generated using a diagnostic catheter. Thediagnostic device 1510 may include an ECG monitor, or a 3D NavigationSystem that calculates X, Y, or Z coordinates of catheter positions forexample. The catheter 1520 may be any suitable type of diagnosticcatheter, such as the Biosense Webster NAVISTAR® THERMOCOOL®, BiosenseWebster LASSO®, Biosense DECARAY® catheter etc. In some implementations,the catheter 1320 may be the same or similar to the catheter 500, shownin FIG. 5 .

The catheter 1520 may include a switch 1521, a plurality of electrodes1522, a connector 1523, a processor 1524, and a memory 1525. Theprocessor 1524 may be operatively coupled to any of the switch 1521, theconnector 1523, and the memory 1525.

The switch 1521 may be an electronic component and/or circuit that iscapable of capable of opening and closing each of a plurality ofelectrical paths. In the present example, the switch 1521 includes aplurality of input channels and a plurality of output channels. Each ofthe input channels may be connected to a different electrode 1522 viaone or more wires (not shown). Furthermore, each of the input channelscan be selectively connected to any of the output channels, by theswitch 1521, based one or more control signals that are received fromthe processor 1524.

The connector 1523 may include any suitable type of connector. In someimplementations, the connector 1523 may be the same or similar to theconnector 400, which is discussed with respect to FIG. 4 . Additionallyor alternatively, the connector 1523 may include a plurality ofcontacts. The contacts may be the same or similar to the contacts 410 ofthe connector 400. Each of the contacts may be connected to a differentoutput channel of the switch 1521. Although in the present example aconnector is used as the output interface of the catheter 1520,alternative implementations are possible in which another type of outputinterface is used, such as a receptacle or a wireless output interface.

The processor 1524 may include one or more of a general-purposeprocessor (e.g., an ARM-based processor), an application specificintegrated circuit (ASIC), a Field-Programmable Gate Array (FPGA), acomplex programmable logic device (CPLD) and/or any other circuitry thatis capable of causing the switch to close a plurality of electric pathsbetween different ones of its input channels and respective outputchannels.

The memory 1525 may include any suitable type of volatile and/ornon-volatile storage device. According to aspects of the disclosure, thememory 1525 may include one or more of an EEPROM memory, a random accessmemory (RAM), a flash memory, and a read-only memory, for example. Insome implementations, the memory 1525 may store one or more of a pinoutmap 1526, a pinout map 1527, and a switch configuration map 1528.

FIGS. 15B-C depict examples of the pinout map 1526, the pinout map 1527,and the switch configuration map 1528. In the present example, each ofthe maps 1526, 1527, and 1528 is a table. However, alternativeimplementations are possible in which each of the maps 1526, 1527, and1528 can be implemented as another type of data structure.

The pinout map 1526 may specify the order in which the electrodes 1324are connected to the input channels of the switch 1521. The pinout map1526 may include a plurality of mappings 1526 a. Each mapping 1526 a mayidentify one of the electrodes 1522 and indicate an input channel of theswitch 1521 (or another element of the catheter 1520) which theelectrode is connected to. In some implementations, the identifier ofany of the electrodes 1522 may include one or more numbers and/orsymbols that indicate, either implicitly or explicitly, the identity ofthat electrode. For instance, the identifier of any of the electrodesmay include an indication of a type of signal that is produced by theelectrode, an indication of the type of the electrode, an indication ofthe position of the electrode on the shaft of the catheter 1520, etc. Insome implementations, the pinout map 1526 may be generated and stored inthe memory 1525 in the manner discussed with respect to FIGS. 1-12 .

The pinout map 1527 specifies an interface standard supported by thediagnostic device 1510. More particularly, the pinout map 1527 mayspecify the order in which the signals from the electrodes 1522 need tobe applied at different contacts of an input interface (not shown) ofthe diagnostic device 1510 that is coupled to the connector 1523 inorder of the diagnostic device 1510 to be able to use the signals fordiagnostic purposes. In the present example, the pinout map 1527includes a plurality of mappings 1527 a. Each mapping 1527 a mayidentify one of the electrodes 1522 and indicate one of the contacts inthe input interface of the diagnostic device 1510 (not shown) on whichsignals from the electrode need to be output. To illustrate how thepinout map 1527 relates to the pinout map 1526 and the switchconfiguration map 1528, in FIG. 15C, under the identifier of eachcontact in the in the input interface of the diagnostic device 1510, inparenthesis, a contact of the connector 1523 of the catheter 1520 isidentified that is connected to the contact of the diagnostic device1510 when the catheter 1520 is coupled to the diagnostic device 1510.

In some implementations, the identifier of each of the electrodes 1522in any mapping 1527 a of the pinout map 1527 may include one or morenumbers and/or symbols that indicate, either implicitly or explicitly,the identity of the electrode. For instance, the identifier of any ofthe electrodes may include an indication of a type of signal that isproduced by the electrode, an indication of the type of the electrode,an indication of the position of the electrode on the shaft of thecatheter 1520, etc. In some implementations, the identifier of any ofthe contacts input interface of the diagnostic device 1510 may includeone or more numbers and/or symbols that indicate, either implicitly orexplicitly, the identity of the contact. For instance, the identifier ofany of the contacts may include an indication of an output channel ofthe catheter 1520 that is associated with the contact, an indication ofan input channel of the diagnostic device 1310, a pin numbercorresponding to a first input pin of the diagnostic device 1510, a pinnumber corresponding to a second output pin of the connector 1523 whichcomes in contact with the first input pin when the connector 1523 isconnected to the diagnostic device 1510, etc.

The switch configuration map 1528 specifies a state which the switch1521 needs to enter in order for the signals from the electrodes to beoutput by the connector 1523 in the order specified by the pinout map1527. More particularly, the switch configuration map 1528 specifies astate of the switch 1521 in which the switch is operable to route thesignal from each of the electrodes 1522 to a different contact in theconnector 1523 that is specified by the pinout map 1527. In the presentexample, the switch configuration map 1528 includes a plurality ofmappings 1528 a. Each mapping 1528 a identifies an input channel of theswitch 1531 and a respective output channel of the switch 1531 which theinput channel needs to be connected to.

FIG. 16 is flowchart of an example of a process 1600 performed by thecatheter 1520, according to aspects of the disclosure.

At step 1610, the processor 1524 detects that a connection isestablished between the catheter 1520 and the diagnostic device 1510. Insome implementations, the connection may be established as a result ofthe connector 1523 being plugged into the diagnostic device 1510.

At step 1620, the processor 1524 retrieves the pinout map 1527 from thediagnostic device 1510. Although in the present example the pinout map1527 is retrieved from the diagnostic device 1510, alternativeimplementations are possible in which the pinout map 1527 is pre-storedin the memory 1525.

At step 1630, the processor 1524 generates the switch configuration map1528 based on at least one of the pinout map 1526 and the pinout map1527. In some implementations, the switch configuration map 1528 may begenerated by cross-referencing the pinout map 1526 with the pinout map1527. In some implementations, the cross-referencing may be performed byusing an additional data structure that indicates the order in which theinput contacts of diagnostic device 1510 are connected to the outputchannels of the switch 1521 when the catheter 1520 is coupled to thediagnostic device 1510. More particularly, in some implementations,generating the pinout map may include performing the following tasksonce for each electrode 1522 in the catheter 1520: (a) identifying aninput channel of the switch 1521 which the electrode is connected to,(b) identifying a contact in the connector 1523 which the electrodeneeds to be connected to, (d) identifying an output channel of theswitch 1521 that is connected to the second contact, (e) creating amapping 1528 a associating the identified input channel of the switch1521 with the identified output channel of the switch 1521, and (f)including the mapping in the switch configuration map 1528.

At step 1640, the processor 1524 configures the switch 1521 inaccordance with the switch configuration map 1528. More particularly,the processor 1524 may cause the switch 1521 to connect each of itsoutput channels to a different input channel of the switch 1521 that isidentified by the switch configuration map 1528. In someimplementations, configuring the switch may include performing thefollowing tasks once for each mapping 1528 a in the switch configurationmap 1528: (a) identifying an input channel of the switch 1521 that isindicated by the mapping, (b) identifying an output channel that isindicated by the mapping, and (c) transmitting a control signal to theswitch 1521 that causes the switch 1521 to connect the identified outputchannel to the identified input channel.

The process 1600 is provided as an example only. Although in the presentexample the switch configuration map is used to reconfigure the switch,alternative implementations are possible in which no switchconfiguration map is generated. In such instances, the input channels ofthe switch 1521 may be connected to one-by-one to corresponding outputchannels based at least on at least one of the pinout map 1526 and thepinout map 1527.

FIG. 17 is a diagram illustrating another technique for associatingelectrodes (or signals) with different input channels at a diagnosticdevice. This technique may be performed by any diagnostic device, whilethe diagnostic device is being used in conjunction with a catheter toexamine a patient.

In some aspects, when a catheter is inserted into a patient's body it iscontained in a sheath. The sheath is a plastic tube of larger diameterthan the catheter which is used to limit pain and increase accuracy. Thecatheter stays in the sheath until the location is reached where thecatheter needs to be deployed (e.g., the patient's heart). At thispoint, the end of the catheter which contains electrodes is slid out ofthe sheath to enter the location. Because the electrodes are arranged ina line on the end of the catheter, they leave the sheath one afteranother. When each electrode leaves the sheath, the value of the signalprovided by that electrode changes. Thus, the order in which the signalsprovided by the electrodes change matches the order in which theelectrodes are arranged on the catheter. Accordingly, by monitoring theorder in which the signals change, it is possible to identify theelectrode that generated each of the signals.

Shown in FIG. 17 is a catheter 1710 that is at first fully contained ina sheath 1720. For the purposes of this example, the sheath 1720 hasbeen inserted up to the location (e.g., a heart chamber) where thecatheter needs to be deployed. The catheter 1710 includes a plurality ofelectrodes 1712 disposed on a shaft. When the shaft is slid out of thesheath 1720, the electrodes 1712 exit the sheath one after another.

At time t=0, all electrodes 1712 are situated in the sheath 1720 and thediagnostic device receives a respective signal from each of theelectrodes 1712. Each signal is received on a different input channel ofthe diagnostic device. The signals received from the electrodes areshown in plot P0.

At time t=1, a first electrode 1712 exits the sheath 1720 and comes incontact with the environment surrounding the sheath 1720 (e.g., thepatient's tissue, etc.). As a result, the signal provided by thiselectrode changes (e.g., its value increases). The change is shown inplot P1. The diagnostic device detects that this is the first signalchange that takes place during the exit of the catheter 1710 from thesheath 1720 and associates the input channel on which the signal isreceived with the first electrode on the catheter 1710 (e.g., theelectrode that is the closest to the distal end D of the catheter).

At time t=2, the second electrode 1712 exits the sheath 1720 and comesin contact with the environment surrounding the sheath 1720 (e.g., thepatient's tissue, etc.). As a result, the signal provided by thiselectrode changes (e.g., its value increases). The change is shown inplot P2. The diagnostic device detects that this is the second signalchange that takes place during the exit of the catheter 1710 from thesheath 1720 and associates the input channel on which the changed signalis received with the second electrode 1712 on the catheter 1710 (e.g.,the electrode that is second closest to the distal end D of thecatheter).

At time t=3, the third electrode 1712 exit the sheath 1720 and comes incontact with the environment surrounding the sheath 1720 (e.g., thepatient's tissue, etc.). The change is shown in plot P3. The diagnosticdevice detects that this is the third signal change that takes placeduring the exit of the catheter 1710 from the sheath 1720 and associatesthe input channel on which the changed signal is received with the thirdelectrode 1712 on the catheter 1710 (e.g., the electrode that is thirdclosest to the distal end D of the catheter).

At time t=4, the fourth electrode 1712 exits the sheath 1720 and comesin contact with the environment surrounding the sheath 1720 (e.g., thepatient's tissue, etc.). As a result, the signal provided by the fourthelectrode changes (e.g., its value increases). The change is shown inplot P4. The diagnostic device detects that this is the second signalchange that takes place during the exit of the catheter 1710 from thesheath 1720 and associates the input channel on which the changed signalis received with the fourth electrode 1712 on the catheter 1710 (e.g.,the electrode that is fourth closest to the distal end D of thecatheter).

FIG. 18 is a flowchart of an example of a process 1800, according toaspects of the disclosure. The process 1800 implements the techniquediscussed above with respect to FIG. 17 and it can be performed by adiagnostic device connected to the catheter 1710.

At step 1810, an indication is obtained of an order in which theelectrodes 1712 are arranged on the shaft of the catheter 1710. In someimplementations, the indication may include a set of identifiers. Asillustrated in FIG. 17 , each identifier may include a different number.All electrodes having identifiers that are smaller than the identifierof a given electrode may be located closer than the given electrode tothe distal end of the shaft of the catheter 1710. Similarly, allelectrodes having identifiers that are larger than the identifier of thegiven electrode may be located further away than the given electrodefrom the distal end D of the catheter 1710. Additionally oralternatively, in some implementations, the indication may include anordered list of electrode identifiers. Each identifier in the list maycorrespond to a different electrode. The position of each identifier inthe list may correspond to the position of the identifier's electrode1712 on the shaft of the catheter 1710. For instance, the closer a givenelectrode 1712 is to the distal end D of the shaft of the catheter 1710,the closer the electrode's identifier may be to the beginning of thelist.

At step 1820, an electrode 1712 is identified that is the closest one tothe distal end D of the catheter 1710 that has not yet been associatedwith a respective input channel of the diagnostic device. At step 1830,a change in the value of a signal received at one of the input channelsof the diagnostic device is detected. The change may include either anincrease or a decrease in the value of the signal. Additionally oralternatively, in some implementations, the change may be detected inresponse to the value of the signal crossing a threshold and/orremaining stable for a predetermined time period.

At step 1840, the input channel on which the signal change is detectedis associated with an electrode 1712 that is identified at step 1820. Insome implementations, associating the electrode 1712 with the inputchannel may include generating a mapping that indicates that theelectrode 1712 is connected to the input channel. The mapping mayinclude any suitable type of number, string, and/or data structure. Insome implementations, the mapping may include a first identifier of theelectrode 1712 that is identified at step 1820 and a second identifierof the input channel, of the device executing the process 1800, at whichthe signal change is detected.

In some implementations, the identifier of any of the electrodes 1712may include one or more numbers and/or symbols that indicate, eitherimplicitly or explicitly, the identity of that electrode. For instance,the identifier of any of the electrodes may include an indication of atype of signal that is produced by the electrode, an indication of thetype of the electrode, an indication of the position of the electrode onthe shaft of the catheter 1710, etc. In some implementations, theidentifier of any of the input channels of the diagnostic device mayinclude one or more numbers and/or symbols that indicate, eitherimplicitly or explicitly, the identity of a particular contact. Forinstance, the identifier of any of the input channels may include anindication of an input channel number, an indication of output channelof the catheter 1710 that is connected to input channel when thecatheter 1710 is plugged into the diagnostic device, a pin numbercorresponding to a first input pin of the diagnostic device, a pinnumber corresponding to a second output pin of the catheter 1710 whichcomes in contact with the first input pin when the catheter 1710 isconnected to the diagnostic device, etc.

At step 1850, a determination is made if there are any remainingelectrodes 1712 that have not yet been associated with respective inputchannels. If there are such remaining electrodes, steps 1820-1840 arerepeated again for another electrode. If there are no such remainingelectrodes, at step 1860, a pinout table is generated that encapsulateseach mapping that is generated at steps 1820-1840. At step 1870, thepinout table is stored in a memory device that is integrated into thecatheter 1710.

According to aspects of the disclosure, the technique discussed withrespect to FIGS. 17-18 may be advantageous because it does not requirethe catheter 1710 to include an integrated memory device. Rather, ifdesired, the technique permits a pinout map to be generated dynamicallyby a diagnostic device every time the catheter is 1710 is used, togetherwith the diagnostic device, to diagnose a patient. Accordingly, thetechnique discussed with respect to the process of FIGS. 17-18 permitscatheters whose electrodes are connected at random (e.g., random pinoutcatheters) to be used without the integration of additional hardware inthose catheters, such as an integrated memory device, an integratedcontroller, and/or integrated switch, for example.

Additionally or alternatively, in some implementations, a configurationdevice, such as the configuration device 800, may be adapted to use thetechnique discussed with respect to FIGS. 17-18 to generate a pinout mapfor a catheter and store the pinout map in a memory device that isintegrated into the catheter. More particularly, the configurationdevice may include an enclosure, a catheter receptacle (e.g., a hole), areceptacle for the catheter's connector, and a radio transmitter that isdisposed in the disclosure. After the electrodes of the catheter havebeen connected at random, the catheter may be placed in a sheath andinserted into the shaft receptacle together with the sheath. After thesheath and the catheter have been inserted into the enclosure of theconfiguration device, through the receptacle, the end of the catheterwhich contains the electrodes may be slid out of the sheath. Because theelectrodes are arranged in a line on the end of the catheter, they mayleave the sheath one after another. When each electrode leaves thesheath, that electrode may act as an antenna and pick up a radio signalthat is being transmitted by the radio transmitter. As a result, thevalue of the signal provided by that electrode at the connectorreceptacle may change. Afterwards, by monitoring the order in which thesignals provided by the electrodes change, the configuration device maygenerate a pinout map in the manner discussed with the process of FIG.18 , and store the pinout map in a memory device that is integrated intothe catheter. Additionally or alternatively, in some implementations,the catheter may be inserted into the configuration device without thesheath.

FIG. 19 is a flowchart of another example of a process 1900, accordingto aspects of the disclosure. The process 1900 may be performed by adiagnostic device connected to a catheter and/or any other suitable typeof device.

At step 1905, the diagnostic device detects that a catheter is connectedto it. At step 1910, the diagnostic device retrieves an identifier ofthe catheter. At step 1915, a determination is made whether the catheteris a random pinout catheter based on the identifier. According toaspects of the disclosure, a random pinout catheter is a catheter whoseelectrodes have been connected at random to different contacts of aconnector and/or a catheter that does not comply with any interfacestandard supported by the device executing the process 1900 (and/oranother device on which the catheter is intended to be used). If thecatheter is not a random pinout catheter, the process 1900 isterminated, after which the diagnostic device begins using the catheterin a well-known fashion. If the catheter is a random pinout catheter,the process proceeds to step 1920.

At step 1920, an attempt is made by the diagnostic device to retrieve,from a memory device that is integrated into the catheter, a pinout mapthat associates each of a plurality of electrodes in the catheter with arespective output channel of the catheter (e.g., a contact in thecatheter's connector). If the attempt is successful, the process 1900 isterminated, after which the diagnostic device begin using the catheterin conjunction with the pinout table. If the attempt is unsuccessful,the process proceeds to step 1925.

At step 1925, the diagnostic device begins monitoring the signalsreceived from the plurality of electrodes and generates a pinout map forthe catheter. As discussed above, the pinout map may include a pluralityof mappings. Each mapping may identify a different input channel on thediagnostic device and an electrode of the catheter that is connected tothat channel. The pinout map may be generated in accordance with theprocess 1800 which is discussed above with respect to FIG. 18 .

At step 1930, the pinout table is stored in a memory device that isintegrated into the catheter. As a result, next time the catheter isplugged into the diagnostic device, the catheter can be used withouthaving to perform step 1925 again. Furthermore, after the pinout tableis stored in the catheter, the catheter may be used on less expensivediagnostic devices that potentially lack the capability to perform step1925 and/or the process 1800 on their own.

FIGS. 1-19 are provided as an example only. Although in various examplesthroughout the disclosure, a random pinout catheter is connected to adiagnostic device via a connector, it will be understood that anysuitable type of connection interface can be used by the random pinoutcatheter instead. Accordingly, the random pinout catheters discussedabove can use any suitable type of connection interface (e.g., wired orwireless, male or female, etc.) to connect to interface devices and/ordiagnostic devices. In instances in which a wireless connectioninterface is used, the pinout maps discussed above can identify wirelesschannels and/or virtual channels instead of connector contacts.Furthermore, the pinout maps may be implemented in any suitable manner.Although in the examples throughout the disclosure, multiple mappingsare encapsulated in the same data structure, alternative implementationsare possible in which each mapping is stored separately from the rest.For example, each mapping may be stored as a separate file in the samefile system directory. Furthermore, the present disclosure is notlimited to any particular technique for encoding the informationrepresented by the mappings. Although in the above examples, eachmapping includes two identifiers, alternative implementations arepossible in which each mapping consists of a single number and/or stringwhich in which the two identifiers are encoded. At least some of theelements discussed with respect to these figures can be arranged indifferent order, combined, and/or altogether omitted. It will beunderstood that the provision of the examples described herein, as wellas clauses phrased as “such as,” “e.g.”, “including”, “in some aspects,”“in some implementations,” and the like should not be interpreted aslimiting the disclosed subject matter to the specific examples.

Having described the invention in detail, those skilled in the art willappreciate that, given the present disclosure, modifications may be madeto the invention without departing from the spirit of the inventiveconcepts described herein. Therefore, it is not intended that the scopeof the invention be limited to the specific embodiments illustrated anddescribed.

What is claimed is:
 1. A diagnostic device, comprising: a processor anda memory; and a catheter communicatively coupled to the diagnosticdevice and including a shaft; the shaft including a plurality ofelectrodes disposed in a linear order on the shaft, the shaft configuredfor insertion in a deployment location; the diagnostic device configuredto: detect a plurality of signal changes that occur during the insertionof the shaft in the deployment location, each signal change being achange in a value of a different signal that is received at a respectiveone of a plurality of channels from one of the electrodes, generate afirst pinout map associating each of the electrodes with a different oneof the plurality of channels in a first state based on a temporal orderin which the signal changes are detected, the diagnostic deviceconfigured so that any of the plurality of electrodes can be associatedto any of the plurality of channels while maintaining usability, storethe first pinout map identifying a first order in which the plurality ofelectrodes is associated to the plurality of channels in the firststate, and transition from the first state to a second state based onthe first pinout map, the second state being one in which the pluralityof electrodes is associated to the plurality of channels in a secondorder that is compatible with an interface standard supported by thediagnostic device.
 2. The diagnostic device of claim 1, wherein thediagnostic device is further configured to provide an indication of theorder in which the electrodes are arranged on the shaft, wherein thefirst pinout map is generated further based on the order in which theelectrodes are arranged on the shaft.
 3. The diagnostic device of claim1, wherein the first pinout map includes a plurality of portions, eachportion identifying a different electrode and the respective one of theplurality of channels at which the signal generated by the electrode isreceived.
 4. The diagnostic device of claim 1, wherein the first pinoutmap includes a plurality of portions, each portion identifying adifferent electrode and respective contact which the electrode iscoupled to.
 5. The diagnostic device of claim 1, wherein the diagnosticdevice is further configured to store the first pinout map in the memorythat is integrated into the diagnostic device.
 6. The diagnostic deviceof claim 1, wherein: the deployment location is inside a body of apatient, and each signal change is caused in response to a differentelectrode coming in contact with a tissue of the patient.
 7. Thediagnostic device of claim 6, wherein the diagnostic device is furtherconfigured to output an indication of a condition of the patient basedon the pinout map.
 8. The diagnostic device of claim 1, wherein each ofthe plurality of electrodes is configured to deliver a respective one ofthe detected plurality of the signal changes to the respective one ofthe plurality of channels.
 9. The diagnostic device of claim 1, whereinthe transition from the first state to a second state includes:obtaining a second pinout map indicating the interface standardsupported by the diagnostic device.
 10. A method for configuring acatheter, comprising: inserting a shaft of the catheter in a deploymentlocation, the shaft including a plurality of electrodes disposed in alinear order on the shaft; detecting a plurality of signal changes thatoccur during the insertion of the catheter in the deployment location,each signal change being a change in a value of a different signal thatis received at a respective one of a plurality of channels from one ofthe electrodes; and generating a pinout map associating each of theelectrodes with a different one of the plurality of channels based on atemporal order in which the signal changes are detected.
 11. The methodof claim 10, further comprising receiving an indication of the order inwhich the electrodes are arranged on the shaft, wherein the pinout mapis generated further based on the order in which the electrodes arearranged on the shaft.
 12. The method of claim 10, wherein the pinoutmap includes a plurality of portions, each portion identifying adifferent electrode and the respective one of the plurality of channelsat which the signal generated by the electrode is received.
 13. Themethod of claim 10, wherein the pinout map includes a plurality ofportions, each portion identifying a different electrode and respectivecontact which the electrode is coupled to.
 14. The method of claim 10,further comprising storing the pinout map in a memory that is integratedinto the catheter.
 15. The method of claim 10, wherein: the deploymentlocation is inside a body of a patient, and each signal change is causedin response to a different electrode coming in contact with a tissue ofthe patient.
 16. The method of claim 15, further comprising outputtingan indication of a condition of the patient based on the pinout map.